This topic is about the experiences and concerns of someone who has been living with an ileostomy for 15 years. An ileostomy is a surgical procedure that creates an opening in the abdomen to allow waste to exit the body, bypassing the rectum. The person has been experiencing ongoing rectal urges and mucus release, which were not fully explained at the time of their surgery. Here are some insights and advice related to this situation:

- It is normal for the rectum to continue producing mucus if it is left in place after an ileostomy. This mucus can build up, thicken, and sometimes resemble stool, causing an urge to push. The color and consistency of the mucus can vary, and feeling relief after expelling it, along with the absence of blood or significant pain, is generally a good sign.

- The frequency and level of discomfort from these urges can vary from person to person. Some people may still feel the need to sit on the toilet years after their surgery. Discomfort can increase if the mucus hardens or if there are pelvic-floor issues that make it difficult to expel.

- To reduce or eliminate mucus discharge, the only definitive solution is the surgical removal of the rectum. This procedure, sometimes referred to as a "Barbie butt" procedure, involves closing the anus. It's important to carefully weigh the benefits and risks of this surgery and to ensure that the surgeon provides a clear explanation of what the procedure would entail.

- There are often gaps in education during ostomy care. Many surgeons and nurses do not fully cover common post-operative issues such as mucus production, blockages, prolapse, retraction, or changes in stoma color that could indicate poor blood flow. As a result, patients often learn how to manage these issues through personal experience or by seeking support from others who have similar experiences.